Graham Cohen, LMSW
Individual provider Active NPI Social Worker · Louisville, TN
NPI 1104476472 · NPPES record last updated Sep 18, 2019
Key facts
- NPI
- 1104476472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LSW0000012127 (TN)
- Practice address
- 3845 Holston College Rd
Louisville, TN 37777-3105 - Phone
- (865) 524-5757
- NPI assigned
- Sep 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000012127 | TN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000012127 | TN | Yes |
Addresses
Primary practice location
3845 Holston College Rd
Louisville, TN 37777-3105
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
Other providers in Louisville, TN
- Christopher Caldwell
- Kelly A. Carlson
- Michelle Cefal
- Jang June Chen
- Christina Alvenia Clark
- Jamie Collett
- James Conner
- Nolan Theodore Crider
- Maren Grace Daniels
- Christopher Allan Davis
All providers in Louisville, TN · Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.